Provider Demographics
NPI:1972346286
Name:ABSOLUTELY AMAZING CDS SERVICES LLC
Entity type:Organization
Organization Name:ABSOLUTELY AMAZING CDS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:JOANNE
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:573-660-2530
Mailing Address - Street 1:1204 WALNUT ST STE 203
Mailing Address - Street 2:
Mailing Address - City:DONIPHAN
Mailing Address - State:MO
Mailing Address - Zip Code:63935-1398
Mailing Address - Country:US
Mailing Address - Phone:573-707-3799
Mailing Address - Fax:
Practice Address - Street 1:1204 WALNUT ST STE 203
Practice Address - Street 2:
Practice Address - City:DONIPHAN
Practice Address - State:MO
Practice Address - Zip Code:63935-1398
Practice Address - Country:US
Practice Address - Phone:573-707-3799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-14
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care